A list of the most recent deficiencies for St. Joseph Villa Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-21 | 2023-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-21 | 2023-08-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-21 | 2023-08-16 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-07-21 | 2023-08-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-21 | 2023-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-27 | 2023-08-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-27 | 2023-08-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-14 | 2022-07-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-14 | 2022-07-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-14 | 2022-07-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-14 | 2022-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-06-13 | 2022-07-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-01-19 | 2021-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-19 | 2021-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-13 | 2021-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-13 | 2021-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-13 | 2021-03-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-01-13 | 2021-03-05 | N |
